Koilonychia in a Patient with Alopecia Areata

February 2021 in “ PubMed ”

N. Litaiem, Olfa Charfi, T. Bacha, Faten Zéglaoui

alopecia areata koilonychia autoimmune condition lymphocytic inflammation immune privilege hair follicles nail apparatus iron deficiency inflammatory skin conditions oral corticosteroids spoon nails

TLDR Koilonychia in alopecia areata can improve with oral corticosteroids.

The document reported a case of a 25-year-old female with alopecia areata (AA) and koilonychia, a rare nail dystrophy characterized by spoon-shaped nails. AA is an autoimmune condition affecting hair follicles, often accompanied by nail changes due to lymphocytic inflammation. Koilonychia is typically linked to iron deficiency and inflammatory skin conditions but is rarely associated with AA. In this case, the patient's koilonychia regressed almost completely after treatment with oral corticosteroids. The report discussed the pathogenesis and potential prognostic significance of koilonychia in the context of AA.

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